RICHARD A. BERG, PC
Clinical Neuropsychologist
Wilmington, North Carolina
Provider NPI: 1184717605
Organization Information:Organization Name: RICHARD A. BERG, PC
Organization is not Subpart
Authorized Official: RICHARD A. BERG NEUROPSYCHOLOGIST/PSYCHOLOGIST 910-7915719
Practice Location:
5010 RANDALL PARKWAY WILMINGTON, NC 28403 US
Tel: 910-791-5719 Fax: 910-799-8180
Business Mailing Address:
5010 RANDALL PARKWAY WILMINGTON, NC 28403 US
Tel: 910-791-5719 Fax: 910-799-8180
Entity Type: Organization
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Organization is not Subpart
Authorized Official: RICHARD A. BERG NEUROPSYCHOLOGIST/PSYCHOLOGIST 910-7915719
Practice Location:
5010 RANDALL PARKWAY WILMINGTON, NC 28403 US
Tel: 910-791-5719 Fax: 910-799-8180
Business Mailing Address:
5010 RANDALL PARKWAY WILMINGTON, NC 28403 US
Tel: 910-791-5719 Fax: 910-799-8180
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NC | 1976 |
X | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | NC | 1976 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
AETNA | 5777071 | 01 | |
MEDCOST | B5232 | 01 | |
BLUE CROSS BLUE SHIELD | 0334H | NC | 01 |
MAGELLAN | 07740 | 01 | |
VALUE OPTIONS | 280096/A206244 | 01 | |
UNITED HEALTH CARE/UBH | 61-00496 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
CLINICAL NEUROPSYCHOLOGIST JOBS NC - Page 1
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